1875 Gold Tr - COCCOMPLIANCE WIT H INITIAL INSPECTION
z - 'This is to certify that the property listed above has been inspected by authorized City personnel on `t , 201 t
and found to be in compliance with Section 3 40 of the City Code and no corrective work was required
COMPLIANCE AF TER CORREC IIVE WORK PERF ORMED
Ihis is to certify that the property listed above has been found to be in compliance with Section 3.40 of the City Code
after satisfactorily completing the required corrective repair work under (check all that apply):
n City Sanitary Sewer Permit City Plumbing Permit
City ofEa ail
City Approved:
Print name
White Copy: Property Owner
SANITARY SEWER SYSTEM
CERTIFICATE OF COMPLIANCE for
INFLOW & INFILTRATION
City of Eagan, Minnesota
Property Address: QC.) V \[
NOTE; Applicable only if box is checked :1• ased on a review of the Sewer Service video inspection /report on file, it is
recommended that periodic cleaning or future inspections be performed to minimize atpotential blockage due to:
Grease Build -up, Root Intrusion, Dip /Settlement in Pipe, Other: W.,L ,A.a- C4O,
n-v tip-(
Signature
'l City of Eagan
Date
Yellow Copy: City of Eagan (Parcel F ile) rev 2 23 2010